Chest pain can be caused by a number of medical conditions. It is important to exclude important causes of chest pain including angina (caused by coronary artery disase) which is caused by a furring of the coronary arteries.
Other common causes of chest pain include musculoskeletal chest pain, neuropathic pain, respiratory disease, acid reflux, intra-abdominal pathology and other underlying metabolic causes.
The most common cause of cardiac chest pain is coronary artery disease. This is the furring of the coronary arteries due to atherosclerosis. If the narrowings caused by this process are severe, this can cause limiting exertional chest pain - angina.
The aims of management are to treat symptoms and reduce the risk of progression of disease and reduce overall risk.
This involves the optimal management of cardiovascular risk factors:
For the management of symptoms, initial treatments include the institution of anti-anginal medications. If symptomatic in spite of this Professor Ruparelia may suggest Coronary Stent Implantation / PCI
Professor Neil Ruparelia 2022